RESUMEN
BACKGROUND: Worldwide, it is estimated that 235-334 million people have been diagnosed with asthma. In Nicaragua, the current asthma rate for children 13-14 years of age was 15.2%. PURPOSE: The purpose of this study was to determine the prevalence of asthma at this school-based health clinic in Managua, Nicaragua, associated symptoms or diseases, determine asthma classification, medications, and hospitalization rates. METHODS: A retrospective chart review was performed on all pediatric patient's medical records seen in the clinic during a 5-day period (n = 105). RESULTS: A total of 23 patients (21.9%) had asthma documented in the medical chart and were included in the analysis. Of the 23 patients, 3 (13%) patients were classified with intermittent asthma while the rest of the patients (87%) were not classified. Albuterol was prescribed for 19 (86%) of the patients with two patients who had both albuterol and QVAR® prescribed. Six (26%) patients had a family history of asthma. DISCUSSION: This study demonstrated the prevalence of asthma in school-aged children in Nicaragua is significant and higher than previously reported. The lack of a classification of asthma prevents patients from potentially being treated appropriately.
Asunto(s)
Albuterol/uso terapéutico , Asma/diagnóstico , Asma/tratamiento farmacológico , Broncodilatadores/uso terapéutico , Hospitalización/estadística & datos numéricos , Servicios de Salud Escolar/estadística & datos numéricos , Adolescente , Asma/epidemiología , Niño , Preescolar , Femenino , Humanos , Lactante , Masculino , Nicaragua/epidemiología , Prevalencia , Estudios RetrospectivosAsunto(s)
Humanos , Lactante , Preescolar , Niño , Adolescente , Atención de Enfermería , Enfermería Pediátrica , Enfermeras PediátricasRESUMEN
Puerto Ricans have been found to have higher asthma prevalence rates than non-Hispanic whites, blacks, and all other Hispanic subgroups. They also have the highest rates of emergency department (ED) use for the management of their asthma. Using a hermeneutic phenomenological approach, the aim of this study was to describe the lived experience of Puerto Rican families caring for their child's asthma and using the ED for asthma care. Six themes were generated from in-depth interviews with 10 Puerto-Rican caregivers: (1) The Folklore of Asthma, (2) Culture and the Medicine Woman, (3) In Awe of Asthma, (4) Praying to God, (5) The Decision-Time to Go, and (6) The ED Environment. The findings emphasize the necessity of establishing and maintaining a therapeutic partnership between primary care providers and families of children with asthma. The results may be used as a foundation for understanding motivations for seeking asthma care in the ED.
Asunto(s)
Antiasmáticos/uso terapéutico , Asma/epidemiología , Cuidadores/psicología , Servicio de Urgencia en Hospital/estadística & datos numéricos , Hispánicos o Latinos/estadística & datos numéricos , Ansiedad/epidemiología , Ansiedad/etiología , Asma/tratamiento farmacológico , Asma/etnología , Niño , Preescolar , Características Culturales , Toma de Decisiones , Familia/etnología , Femenino , Folclore , Conocimientos, Actitudes y Práctica en Salud , Promoción de la Salud , Humanos , Lactante , Recién Nacido , Masculino , Educación del Paciente como Asunto , Embarazo , Prevalencia , Puerto Rico/etnología , Religión , Factores Socioeconómicos , Estados Unidos/epidemiología , Estados Unidos/etnologíaRESUMEN
In May 2007, Yale University sent a team of nurse practitioner faculty and students to Managua, Nicaragua, as part of a five-year project to provide health care for children who attended a small school in a poor area of the city. Over the course of four days, 88 children were examined and treated. Although the Ministry of Health of Nicaragua theoretically provides health care for all, resources are often limited and difficult to access. By working with teachers and families, the team from Yale University is attempting to help the community establish a school-based clinic to meet the day-to-day needs of the children and establish health care contacts for more serious health care needs.